Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $95.83 / $127.36	Facility		$82.00	$95.83	$127.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $40.26 / $45.75	Professional		$34.13	$40.26	$45.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $97.66 / $97.66	Professional		$97.66	$97.66	$97.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $90.00 / $90.00	Facility		$65.00	$90.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $97.66 / $97.66	Professional		$97.66	$97.66	$97.66